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v1.0.0
ICD-10 Guide
ICD-10 CodesB67.39

B67.39

Echinococcus granulosus infection, other sites

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 B67.39 is a billable code used to indicate a diagnosis of echinococcus granulosus infection, other sites.

Key Diagnostic Point:

Echinococcus granulosus infection is a parasitic disease caused by the larval stage of the Echinococcus granulosus tapeworm. This infection primarily affects the liver and lungs but can also involve other organs, leading to the formation of cysts. The disease is often asymptomatic in the early stages, but as cysts grow, they can cause significant morbidity. Symptoms may include abdominal pain, nausea, vomiting, and in severe cases, anaphylactic reactions if cysts rupture. Diagnosis typically involves imaging studies such as ultrasound, CT scans, or MRI to identify cysts, along with serological tests to detect specific antibodies. Treatment usually involves surgical intervention to remove cysts, and antiparasitic medications such as albendazole or mebendazole may be used as adjunct therapy to prevent recurrence. The infection is more prevalent in areas where livestock is raised, and transmission occurs through ingestion of eggs from contaminated food or water. Understanding the epidemiology, clinical presentation, and management of Echinococcus granulosus infection is crucial for effective treatment and prevention.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of clinical presentations depending on the organ affected
  • Need for imaging studies for accurate diagnosis
  • Potential for misdiagnosis with other cystic lesions
  • Variability in treatment approaches based on cyst location and size

Audit Risk Factors

  • Inadequate documentation of imaging results
  • Failure to document the specific site of infection
  • Lack of clarity on treatment plans
  • Misclassification of cyst type or stage

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, exposure risks, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with abdominal pain and imaging findings suggestive of hydatid cysts.

Billing Considerations

Ensure clarity on the site of infection and any associated complications.

Surgery

Documentation Requirements

Operative reports detailing cyst removal, pathology reports, and follow-up care.

Common Clinical Scenarios

Surgical intervention for large cysts causing symptoms or complications.

Billing Considerations

Document the surgical approach and any complications encountered during the procedure.

Coding Guidelines

Inclusion Criteria

Use B67.39 When
  • Follow the official ICD
  • CM coding guidelines for infectious diseases, ensuring accurate documentation of the site of infection and any associated conditions
  • Include relevant clinical information to support the diagnosis

Exclusion Criteria

Do NOT use B67.39 When
No specific exclusions found.

Related CPT Codes

47562CPT Code

Laparoscopic cholecystectomy

Clinical Scenario

Used when cysts are located in the liver and require surgical removal.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Ensure the indication for surgery is clearly documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of Echinococcus infections, improving data accuracy and enabling better tracking of disease prevalence and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of Echinococcus infections, improving data accuracy and enabling better tracking of disease prevalence and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of Echinococcus infections, improving data accuracy and enabling better tracking of disease prevalence and treatment outcomes.

Resources

Clinical References

  • •
    CDC - Echinococcosis

Coding & Billing References

  • •
    CDC - Echinococcosis

Frequently Asked Questions

What are the common symptoms of Echinococcus granulosus infection?

Common symptoms include abdominal pain, nausea, vomiting, and respiratory issues if the lungs are involved. Symptoms may vary based on the location and size of the cysts.